An Inventory of Evaluation Studies of Information Technology in Health Care

2005 ◽  
Vol 44 (01) ◽  
pp. 44-56 ◽  
Author(s):  
N. de Keizer ◽  
E. Ammenwerth
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Medical Informatics ◽  
Quantitative Methods ◽  
Evaluation Studies ◽  
Evaluation Research ◽  
Evaluation Study ◽  
Strong Shift ◽  
Strategy Evaluation ◽  
Computer Based

Summary Objectives: During the last years the significance of evaluation studies as well as the interest in adequate methods and approaches for evaluation has grown in medical informatics. In order to put this discussion into historical perspective of evaluation research, we conducted a systematic review on trends in evaluation research of information technology in health care from 1982 to 2002. Methods: The inventory is based on a systematic literature search in PubMed. Abstracts were included when they described an evaluation study of a computer-based component in health care. We identified 1035 papers from 1982 to 2002 and indexed them based on a multi-axial classification describing type of information system, study location, evaluation strategy, evaluation methods, evaluation setting, and evaluation focus. Results and Conclusions: We found interesting developments in evaluation research in the last 20 years. For example, there has been a strong shift from medical journals to medical informatics journals. With regard to methods, explanatory research and quantitative methods have dominated evaluation studies in the last 20 years. Since 1982, the number of lab studies and technical evaluation studies has declined, while the number of studies focusing on the influence of information technology on quality of care processes or outcome of patient care has increased. We interpret this shift as a sign of maturation of evaluation research in medical informatics.

scholarly journals Introduction: Ethics of Information Technology in Health Care

2006 ◽  
Vol 5 ◽  
pp. 2-5
Author(s):  
Georg Marckmann ◽  
Kenneth W Goodman
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Information And Communication Technologies ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Social Issues ◽  
Communication Technologies ◽  
Theme Issue ◽  
Information And Communication ◽  
Computer Based

Computer-based information and communication technologies continue to transform the delivery of health care and the conception and scientific understanding of the human body and the diseases that afflict it. While information technology has the potential to improve the quality and efficiency of patient care, it also raises important ethical and social issues. This IRIE theme issue seeks to provide a forum to identify, analyse and discuss the ethical and social issues raised by various applications of information and communication technology in medicine and health care. The contributions give a flavour of the extraordinarily broad landscape shaped by the intersection of medicine, computing and ethics. In fact, their diversity suggests that much more work is needed to clarify issues and approaches, and to provide practical tools for clinicians.

scholarly journals Assessing Information Technologies for Health. Editorial

2006 ◽  
Vol 15 (01) ◽  
pp. 2-4
Author(s):  
C. Kulikowski ◽  
R. Haux
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Medical Informatics ◽  
Information Technologies ◽  
Main Theme ◽  
Review Articles ◽  
Wide Range ◽  
History Of ◽  
Original Survey ◽  
Research And Education

SummaryTo provide an editorial introduction to the 2006 IMIA Yearbook of Medical Informatics with an overview of its contents and contributors.A brief overview of the main theme of “Assessing Information Technology for Health Care”, and an outline of the purposes, readership, contents, new format, and acknowledgment of contributions for the 2006 IMIA Yearbook.Assessing information technology (IT) in biomedicine and health care is emphasized in a number of survey and review articles. Synopses of a selection of best papers for the past 12 months are included, as are original papers on the history of medical informatics by pioneers in the field, and selected research and education programs. Information about IMIA and its constituent societies is given, as well as the authors, reviewers, and advisors to the Yearbook.The 2006 IMIA Yearbook of Medical Informatics highlights as its theme one of the most significant yet difficult aspects of information technology in health: the assessment of IT as part of the complex enterprise of biomedical research and practice. It is being published in a new format with a wide range of original survey and review articles.

scholarly journals Combatting human trafficking in the United States: how can medical informatics help?

2020 ◽  
Author(s):  
Kim M Unertl ◽  
Colin G Walsh ◽  
Ellen Wright Clayton
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Human Trafficking ◽  
Health Information Technology ◽  
Health Information ◽  
Medical Informatics ◽  
Health Care Providers ◽  
The United States ◽  
Care Providers ◽  
Trafficking Victims

Abstract Objective Human trafficking is a global problem taking many forms, including sex and labor exploitation. Trafficking victims can be any age, although most trafficking begins when victims are adolescents. Many trafficking victims have contact with health-care providers across various health-care contexts, both for emergency and routine care. Materials and Methods We propose 4 specific areas where medical informatics can assist with combatting trafficking: screening, clinical decision support, community-facing tools, and analytics that are both descriptive and predictive. Efforts to implement health information technology interventions focused on trafficking must be carefully integrated into existing clinical work and connected to community resources to move beyond identification to provide assistance and to support trauma-informed care. Results We lay forth a research and implementation agenda to integrate human trafficking identification and intervention into routine clinical practice, supported by health information technology. Conclusions A sociotechnical systems approach is recommended to ensure interventions address the complex issues involved in assisting victims of human trafficking.

scholarly journals Section 2: Patient Records: The Computerized Patient Record: Where Do We Stand?

2006 ◽  
Vol 15 (01) ◽  
pp. 29-39 ◽  
Author(s):  
P. Knaup ◽  
D. Schmidt ◽  
M. W. M. Jaspers
Keyword(s):  
Health Care ◽  
Medical Informatics ◽  
Evaluation Studies ◽  
Data Entry ◽  
Clinical Work ◽  
Patient Record ◽  
Support Functions ◽  
Privacy And Security ◽  
Computerized Patient Record ◽  
The Impact

SummaryTo provide an overview of trends in research, developments and implementations of the computerized patient record (CPR) of the last two years.We surveyed the medical informatics literature, spanning the years 2004-2005, focusing on publications on CPRs.The main trends revealed were: 1) the development of technologies to realize privacy and security goals or remote data entry and access to CPRs; 2) investigations into how to enhance the quality and reuse of CPR data; 3) the development and evaluation of decision support functions to be integrated with CPRs; 4) evaluations of the impact of CPRs on clinicians, patients, clinical work settings and patient outcomes; and 5) the further development and use of standards to move towards shared electronic health records (EHRs).The CPR is playing a growing part in medical informatics research and evaluation studies, but the goal of establishing a comprehensive lifelong EHR is still a long way off. In moving forward to EHRs, convergence of EHR standards seems required to realize true interoperability of health care applications. User acceptance of present-day CPRs (for all categories of users) and compatibility with work patterns has not been achieved yet, and can only be realized by giving these goals high priority. This will require substantial resources for in-depth work flow analysis, development and evaluation of CPRs. Besides this, the implementation of effective CPRs asks for health care organizations that are willing to invest in new developments and to contribute to evaluation studies, to further improve CPRs’ functionalities and enhance their use in practice.Haux R, Kulikowski C, editors. IMIA Yearbook of Medical Informatics 2006.

Guidance for preparing evaluation reports in telemedicine and health informatics generally

2007 ◽  
Vol 13 (7) ◽  
pp. 325-326 ◽  
Author(s):  
David Hailey
Keyword(s):  
Information Technology ◽  
Medical Informatics ◽  
Health Informatics ◽  
Quality Evaluation ◽  
Evaluation Studies ◽  
Evidence Base ◽  
European Federation ◽  
Current Version ◽  
Evaluation Report

The European Federation for Medical Informatics is developing a detailed guideline for preparing evaluation reports. By doing this, it is hoped that the quality of evaluation studies in health informatics will improve and thus the evidence base. While much of the necessary information for preparing good quality evaluation publications is available in other documents, the Statement on Reporting of Evaluation Studies in Health Informatics (STARE-HI) is valuable in bringing together many points into a single document. The current version is comprehensive and includes valuable information on a number of areas. A list of recommended items for inclusion in an evaluation report is given. There is perhaps a danger that some authors might be intimidated by the suggested detail to be provided. Nonetheless, the Federation is to be congratulated for putting together a comprehensive guideline which promises to be a useful contribution to improving the quality of evaluation studies in information technology, including telemedicine.

scholarly journals Process evaluation of enhancing primary health care for non-communicable disease management in Malaysia: Uncovering the fidelity & feasibility elements

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245125
Author(s):  
Lee Lan Low ◽  
Fathullah Iqbal A. B. Rahim ◽  
Nur Aqlili Riana Hamzah ◽  
Mohd Safiee Ismail
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Service Delivery ◽  
Human Resource ◽  
Communicable Disease ◽  
Evaluation Research ◽  
Good Clinical Practice ◽  
Evaluation Study ◽  
Physical Structure ◽  
Primary Health

Background In combating the increasing trend of non-communicable diseases (NCDs) over the last two decades in the country, the Ministry of Health Malaysia developed the Enhanced Primary Health Care (EnPHC) initiative to improve care management across different levels of the public service delivery network. An evaluation research component was embedded to explore the implementation issues in terms of fidelity, feasibility, adaptation and benefit of the initiative’s components which were triage, care coordination, screening, risk management and referral system. Methods A mixed methods study was conducted at 20 participating EnPHC clinics in Johor and Selangor, two months after the intervention was initiated. Data collected from self-reported forms and a structured observation checklist were descriptively analysed. In-depth interviews were also conducted with 20 participants across the clinics selected to clarify any information gaps observed in each clinic, and data were thematically analysed. Results Evaluation showed that all components of EnPHC intervention had been successfully implemented except for the primary triage counter and visit checklist. The challenges were mainly discovered in terms of human resource and physical structure. Although human resource was a common implementation challenge across all interventions, clinic-specific issues could still be identified. Among the adaptive measures taken were task sharing among staff and workflow modification to match the clinic’s capacity. Despite the challenges, early benefits of implementation were highlighted especially in terms of service outcomes. Conclusions The evaluation study disclosed issues of human resource and physical infrastructure when a supplementary intervention is implemented. To successfully achieve a scaled-up PHC service delivery model based on comprehensive management of NCDs patient-centred care, the adaptive measures in local clinic context highlight the importance of collaboration between good organisational process and good clinical practice and process.

Business: The Electronic Health Record: Front Line Experience

2011 ◽  
Vol 21 (1) ◽  
pp. 18-22
Author(s):  
Rosemary Griffin
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Electronic Health Record ◽  
Financial Incentives ◽  
Best Practice ◽  
Health Care Systems ◽  
The United States ◽  
Health Record ◽  
Health Trends ◽  
Electronic Health

National legislation is in place to facilitate reform of the United States health care industry. The Health Care Information Technology and Clinical Health Act (HITECH) offers financial incentives to hospitals, physicians, and individual providers to establish an electronic health record that ultimately will link with the health information technology of other health care systems and providers. The information collected will facilitate patient safety, promote best practice, and track health trends such as smoking and childhood obesity.

Theoretical and Methodological Problems of a 10-Year Follow-Up Program Evaluation Study

2002 ◽  
Vol 18 (3) ◽  
pp. 229-241 ◽  
Author(s):  
Kurt A. Heller ◽  
Ralph Reimann
Keyword(s):  
Program Evaluation ◽  
Evaluation Studies ◽  
Evaluation Study ◽  
Control Groups ◽  
Cross Sectional ◽  
Long Term Study ◽  
Partial Inclusion ◽  
Methodological Problems

Summary In this paper, conceptual and methodological problems of school program evaluation are discussed. The data were collected in conjunction with a 10 year cross-sectional/longitudinal investigation with partial inclusion of control groups. The experiences and conclusions resulting from this long-term study are revealing not only from the vantage point of the scientific evaluation of new scholastic models, but are also valuable for program evaluation studies in general, particularly in the field of gifted education.

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